Organization
BRADLEY PHARMACY
Active
Other names
BRADLEY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RICHE (OWNER)
(504) 239-3622
Entity
Organization
Contact information
Practice address
8115 E SAINT BERNARD HWY, SAINT BERNARD, LA 70085-5424
(504) 682-5237
(504) 682-6654
Mailing address
8115 E SAINT BERNARD HWY, SAINT BERNARD, LA 70085-5424
(504) 682-5237
(504) 682-6654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007026-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1207403
—
LA
01
—
2029197
PK
—
Enumeration date
12/18/2006
Last updated
01/07/2015
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